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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KRISTINA TOMBULYAN
NPI 1063115525
Family Medicine in Los Angeles, CA

Active since March 23, 2023PECOS Enrolled
5100 W GOLDLEAF CIR FL 2, LOS ANGELES, CA 90056(323) 293-7171(310) 348-3716 Get Directions Write a Review

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 16, 2026, Mar 23, 2023 (2 updates tracked since 2023).

About Kristina Tombulyan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTINA TOMBULYAN (NPI 1063115525) is an individual family medicine provider in Los Angeles, California, licensed in California (A207393) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Colton, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1063115525
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKRISTINA TOMBULYAN
Location Address5100 W GOLDLEAF CIR FL 2Los Angeles, CA 90056-1658
Mailing Address5100 W Goldleaf Cir Fl 2Los Angeles, CA 90056-1658 · (323) 293-7171 · Fax (310) 348-3716
Phone(323) 293-7171
Fax(310) 348-3716
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 23, 2023
Last NPPES UpdateSeptember 16, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2026
✔ NPI 1063115525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A207393
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5100 W GOLDLEAF CIR FL 2, Los Angeles, CA 90056
Open in Google Maps ↗

Secondary Practice Location 1

Location 1400 N Pepper AveColton, CA 92324-1819 · Phone (909) 580-3366

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristina Tombulyan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547726325
PECOS Enrollment IDI20260731002178
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90056 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAHIL PARIKH M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5100 W GOLDLEAF CIR FL 2
LOS ANGELES, CA 90056
Los Angeles County (323) 293-7171
BANSARI PATEL DO
Internal Medicine
5100 W GOLDLEAF CIR FL 2
LOS ANGELES, CA 90056
Los Angeles County (323) 293-7171

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristina Tombulyan's NPI number?

The NPI number for Kristina Tombulyan is 1063115525. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Where is Kristina Tombulyan located?

Kristina Tombulyan practices at 5100 W Goldleaf Cir Fl 2, Los Angeles, CA 90056. The listed phone number is (323) 293-7171.

What is Kristina Tombulyan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kristina Tombulyan enrolled in Medicare?

Yes. Kristina Tombulyan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristina Tombulyan was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.